Environmental Cleaning Tool Kit Funded through the AORN Foundation and supported by a grant from Ecolab Cleaning Basics Module 1 AORN Environmental Cleaning Toolkit Objectives Upon completion of this module participants will be able ID: 761718
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Environmental Cleaning Tool Kit Funded through the AORN Foundation and supported by a grant from Ecolab Cleaning Basics Module 1
AORN Environmental Cleaning Toolkit
Objectives Upon completion of this module, participants will be able todefine standard precautions;describe appropriate cleaning methods; explain the chain of infection;state high-touch objects in the perioperative environment;describe how often cleaning should occur, and; state the recommended chemicals, tools, and equipment used for cleaning.
Cleaning Precautions The Occupational Safety and Health Administration (OSHA) regulates the bloodborne pathogens standard to protect all health care workers from exposure to germs that can be spread in blood and body fluids Team members must wear protection during cleaning in the perioperative area to avoid coming in contact with any potentially infectious substancethis is called standard precautions
Standard Precautions Team members cleaning contaminated surfaces must wear personal protective equipment (PPE)
Types of PPE - GlovesTeam members must wear gloves when you might come in contact with blood, bodily fluids, or other potentially infectious materialwhile touching or handling contaminated items or surfaces
Types of PPE – Face Protection Team members must wear masks, eye protection, and face shields when you might come in contact with splashessprays, splatter, or droplets of blood bodily fluids, or other potentially contaminated materials
Hand HygieneHand hygiene must always be performedwhen you remove PPE as soon as possible after hands are soiled
Definitions Cleanthe absence of visible dust, soil, debris, blood, or other potentially infectious materialDisinfection a process that kills most forms of microorganisms on inanimate surfaces
Definitions High-touch objectsfrequently touched items or surfacesDwell timethe amount of time required for contact of a chemical agent with a surface
Definitions Terminal cleaningthorough environmental cleaning that is performed at the end of each day when the area is being used Turnover cleancleaning and disinfecting done to a room between patients throughout the day
Why is cleaning important? There is a high risk for spreading germs in the perioperative environmentcommon equipment used on every patientteam members touch the patient, touch equipment, then touch the patient again patient is at higher risk for infection because of surgery
Chain of Infection Cleaning & Disinfection Waste Removal Hand Washing Hand Washing
Why is cleaning important? Cleaning environmental surfaces decreases the amount of germs in the area around the patientDecreases the chances of our patients having a health care-associated infection (HAI) after surgery
How often should we clean? Always follow your health care facility’s policy regarding frequency of cleaning patient roomsterminally clean all patient rooms terminally daily if being usedclean every room between patients, especially high-touch objects damp dust horizontal surfaces at the beginning of the day
Cleaning Schedule Areas and equipment that are not terminally cleaned daily will be cleaned according to your facility’s schedule (weekly or monthly)ventilation ductsclean and soiled utility rooms sterile storage areassterilizersloungesrefrigeratorsAlways follow your facility’s specific policy for cleaning these areasDocument your cleaning on your facility’s cleaning log
Types of Environmental Cleaning Terminal cleaningDamp dustingTurnover cleaning
Types of Cleaning Terminal cleaningperformed every day when the room is being usedInvolves cleaning and disinfecting of all exposed surfaces, including wheels and casters, of all equipment cleaning and disinfecting the floor with a wet vacuum or single-use mopmoving equipment around the room to clean the floor underneath
Types of Cleaning Damp dustinguse a clean, low-linting cloth moistened with disinfectant damp dust first thing in the morning before additional items or equipment are brought into the roomdamp dust from top to bottomWhy damp dust?removes dust from horizontal surfaces
Types of Cleaning Turnover cleaningpatient rooms must be cleaned after each patienthigh-touch objects and equipmentcontamination of items that are frequently touched can lead to contaminated hands for health care personnel
High Touch Objects High-touch objects areanesthesia machine, carts, and equipmentcall lightsIV poles and pumps OR bedover-bed tablespatient bedspatient monitorsreusable table straps (safety straps)television remote controls
Cleaning in the OR or Procedure Room Adapted with permission from Perioperative Standards and Recommended Practices. Copyright © 2014, AORN, Inc, 2170 S. Parker Road, Suite 400, Denver, CO 80231. All rights reserved.
Cleaning in the OR or Procedure Room Adapted with permission from Perioperative Standards and Recommended Practices. Copyright © 2014, AORN, Inc, 2170 S. Parker Road, Suite 400, Denver, CO 80231. All rights reserved.
Cleaning in the Preoperative and Postoperative Patient Care Areas Adapted with permission from Perioperative Standards and Recommended Practices. Copyright © 2014, AORN, Inc, 2170 S. Parker Road, Suite 400, Denver, CO 80231. All rights reserved.
Cleaning in the Preoperative and Postoperative Patient Care Areas Adapted with permission from Perioperative Standards and Recommended Practices. Copyright © 2014, AORN, Inc, 2170 S. Parker Road, Suite 400, Denver, CO 80231. All rights reserved.
Cleaning in Sterile Storage Areas
Cleaning in the Clean Packing Area
Cleaning in the Sterile Processing Areas Decontamination Area
Floor Cleaning Clean and disinfect the floor surfaces at the edge of the room firstmoving toward the center of the roomThe center of the room is where most patient care happensthe center is likely to be dirtier
Cleaning ChemicalsAlways follow your facility’s policy when using cleaning and disinfecting chemicals in your facilitythe manufacturer’s instructions for use
Cleaning ChemicalsYou will need to know and be able to tell others if the chemical is approved for use at your facilitywhat the “dwell time” is for the producthow to mix the product (if needed) how long the chemical can be used before needing to be replacedhow to label the chemical
Cleaning Tools and Equipment The tools and equipment you will use to clean your facility may vary based on what your facility providesreusable or single-use mopsmicrofiber clothssingle-use wipes Do not use spray bottles for cleaning surfacesthey could cause germs to go into the air
Cleaning Tools and Equipment “Courtesy of Ecolab® Inc.”
Cleaning Tools and Equipment
Resources Association for the Healthcare Environment of the American Hospital Association. Practice Guidance for Healthcare Environmental Cleaning. 2nd ed. Chicago, IL: American Hospital Association; 2012.Recommended practices for environmental cleaning. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2014:255-276. Sehulster LM, Chinn RYW, Arduino MJ, et al. Guidelines for Environmental Infection Control in Health-Care Facilities. Chicago IL; American Society for Healthcare Engineering/American Hospital Association; 2004. http://www.cdc.gov/hicpac/pdf/guidelines/eic_in_hcf_03.pdf Accessed January 13, 2014.